BYLAWS FOR THE MEDICAL STAFF
OF
CITRUS VALLEY MEDICAL CENTER

Inter-Community Campus & Queen of the Valley Campus

TABLE OF CONTENTS

PREAMBLE

DEFINITIONS

ARTICLE I - NAME

ARTICLE II - MEMBERSHIP
    2.1 Nature of Membership
   
2.2 Qualifications for Membership
   
2.3 Effect of Other Affiliations
   
2.4 Nondiscrimination
   
2.5 Basic Responsibilities of Medical Staff Membership
   
2.6 Harassment Prohibited

ARTICLE III - CATEGORIES OF MEMBERSHIP
    3.1 Categories
    3.2
Active Staff
   
3.3 The Courtesy Medical Staff
    3.4 Provisional Staff
    3.5 The Consulting Medical Staff
    3.6 The Emeritus Staff
    3.7 Temporary Staff
    3.8 Administrative Staff
    3.9 House Staff
    3.10 Limitation of Prerogatives
    3.11 General Exceptions to Prerogatives
    3.12 Modification of Membership

ARTICLE IV - APPOINTMENT AND REAPPOINTMENT
    4.1 General
    4.2 Burden of Producing Information
    4.3 Appointment Authority
    4.4 Duration of Appointment and Reappointment
    4.5 Application for Initial Appointment and Reappointment
    4.6 Reappointments and Requests for Modifications
           of
Staff Status or Privileges
   
4.7 Leave of Absence

ARTICLE V - PRIVILEGES
    5.1 Exercise of Privileges
    5.2 Delineation of Privileges in General
    5.3 Proctoring
    5.4 Conditions for Privileges of Limited License Practitioners
    5.5 Temporary Clinical Privileges
    5.6 Emergency Privileges
    5.7 Modification of Privileges or Department Assignment
    5.8 Lapse of Application
    
ARTICLE VI - CORRECTIVE ACTION
    6.1 Corrective Action
    6.2 Summary Restriction or Suspension
    6.3 Automatic Suspension or Limitation

ARTICLE VII - HEARINGS AND APPELLATE REVIEWS
    7.1 General Provisions
    7.2 Grounds for Hearing
    7.3 Requests for Hearing
    7.4 Hearing Procedure
    7.5 Appeal
    7.6 Exclusive Contracts
    7.7 Expunction of Disciplinary Action
    
ARTICLE VIII - OFFICERS
    8.1 Officers of the Medical Staff
    8.2 Duties of Officers

ARTICLE IX - CLINICAL DEPARTMENTS AND DIVISIONS
    9.1 Organization of Clinical Departments and Divisions
    9.2 Current Departments and Divisions
    9.3 Assignment to Departments and Divisions
    9.4 Functions of Departments
    9.5 Functions of Divisions
    9.6 Department Heads
    9.7 Division Chiefs
    
ARTICLE X - COMMITTEES
    10.1 Designation
    10.2 General Provisions
    10.3 Medical Executive Committee
    10.4 Joint Conference Committee
    10.5 Utilization Review Committee
    10.6 Pharmacy and Therapeutics Committee
    10.7 Infection Control Committee
    10.8 Bylaws Committee
    10.9 Performance Improvement Committee
    10.10 Physicians' Advisory Committee
    10.11 Ethics Committee
    10.12 Committee on Interdisciplinary Practice
    10.13 Cancer Committee
    10.14 Continuing Medical Education Committee

ARTICLE XI - MEETINGS
    11.1 Meetings
    11.2 Committee and Department Meetings
    11.3 Quorum
    11.4 Manner of Action
    11.5 Minutes
    11.6 Attendance Requirements
    11.7 Conduct of Meetings
    11.8 Executive Session

ARTICLE XII - CONFIDENTIALITY, IMMUNITY AND RELEASES
    12.1 Authorization and Conditions
    12.2 Confidentiality of Information
    12.3 Immunity from Liability
    12.4 Activities and Information Covered
    12.5 Releases
    12.6 Indemnification

ARTICLE XIII - GENERAL PROVISIONS
    13.1 Rules and Regulations
    13.2 Dues or Assessments
    13.3 Construction of Terms and Headings
    13.4 Authority to Act
    13.5 Division of Fees
    13.6 Notices
    13.7 Disclosure of Interest
    13.8 Nomination of Medical Staff Representatives
    13.9 Medical Staff Credentials Files
    13.10 Medical Staff Role in Exclusive Contracting

ARTICLE XIV - ALLIED HEALTH PROFESSIONALS
    14.1 Qualifications
    14.2  Delineation of Categories of Allied Health Professional Eligible
             to Apply for Practice Privileges
    14.3 Procedure for Granting Practice Privileges
    14.4 Privileges and Responsibilities

ARTICLE XV - ADOPTION AND AMENDMENT OF BYLAWS
    15.1 Procedure
    15.2 Approval
    15.3 Exclusivity
    15.4 Successor in Interest